Interdisciplinary PhD Scholarships in Neuroscience and Related Disciplines
Expression of Interest Form – 2016 Commencement
Closing Date: Friday 25 September 2015
Please note that, if successful, you are also required to submit an application for a University of Melbourne
Graduate Research Degree and Scholarship by 31 October 2015:
http://futurestudents.unimelb.edu.au/admissions/applications/research
The EOI application and all requested attachments are to be submitted as a single high quality PDF to researchmni@unimelb.edu.au by the closing date, Friday 25 September 2015.
IMPORTANT
Please read the guidelines before completing this application and ensure that you correctly address all
requirements.
APPLICANT INFORMATION
Full name:
(including title)
Current institution:
Residential address:
Suburb:
Postcode:
Telephone contact:
Email:
Citizenship category:
Australian citizen
(Please indicate)
Permanent resident
New Zealand citizen holding a Special Category Visa
Scholarship category:
(please indicate)
Title of proposed project:
(do not exceed 75 characters
excluding spaces)
PhD Scholarship
PhD Scholarship (Clinical)
Details of where you plan to
undertake your PhD studies:
Faculty:
Details of proposed
supervisor(s):
Name:
Dept:
Position:
Faculty and
Department:
Email:
Telephone:
Details of your contact with
proposed supervisor:
ACADEMIC QUALIFICATIONS

List below all tertiary level studies you have undertaken including those in which you are currently
enrolled (whether you have completed them or not) beginning with the most recent.

† If you are currently completing a degree, please write CU for ‘current’ and include the date that you
anticipate completion. If you began a degree and did not complete it, write INC for ‘incomplete’ and
include the date when you ceased study. If you completed the degree please write CO for ‘complete’
and include the completion date.

‡ Program length is the usual duration of the program on a full-time basis.
Name of
degree
(e.g. Bachelor
of Arts)
Name of
institution and
country
† Current (CU)/
Incomplete
(INC)/
Complete (CO)
Date
completed/ceased/
Expected date of
completion
(mm/yy)
Program
length‡
(e.g. 3 years)
REFEREE 1 - CONTACT DETAILS
Full name:
(including title)
Institution:
Department:
Telephone:
Email:
REFEREE 2 - CONTACT DETAILS
Full name:
(including title)
Institution:
Department:
Telephone:
Email:
CAREER OBJECTIVES / VISION
Please summarise how the Scholarship would advance your career objectives and outline your vision for the
next 5 years (max 200 words).
DOCUMENTS TO ATTACH


Please attach your Curriculum Vitae (maximum three A4 pages)
Please attach your academic transcripts
Please note the following documentation requirements:
•
You must provide the full official transcript(s) on official university letterhead, indicating all
subjects and results in all years of study for each qualification completed or attempted.
•
If you have completed a degree but your transcript does not state this, you must provide a copy of
the award certificate or an original or copy of a letter from your institution on university
letterhead confirming you have completed all the requirements of the degree program and are
eligible to graduate or have graduated.
•
If your transcripts do not contain actual numeric marks (e.g. 82%) or Grade Point Averages (e.g.
3.4) you should provide a separate official explanation of the relevant university’s grading system,
or official advice from the awarding institution detailing the numeric marks you achieved for your
tertiary studies.
•
Applicants with a Masters qualification that is graded as Pass/Fail only should provide examiners’
reports (a report containing examiners’ feedback/ detailed information about your thesis) if they
are available.
•
All applicants with a Masters qualification should provide an extract from the relevant university
handbook (or website) that clearly states (i) the normal duration of the Masters course (e.g. two
years full-time) and (ii) the structure of the course (e.g. minimum of 24 points, of which 18 points
are a research project). You must provide information about the amount of research required for
the qualification.
•
If you are currently enrolled in a tertiary course, please provide a transcript that shows your
results to date and provide final transcripts as soon as they become available.
•
If you have received credit toward your degree at the third year level or higher, please include the
transcript/s for the studies for which you have received credit.
•
Documents in languages other than English must be accompanied by an English translation by an
accredited translator.
•
If your current name is not the same as the name on your transcripts (e.g. due to marriage) please
provide a copy of evidence of change of name (e.g. a marriage certificate).
•
Applicants who have completed an Australian MBBS, BPhysio, LLB, JD, or Aust/NZ dental (BDSc,
BDS), or veterinary (BVSc, BMVS) qualification should provide information about their position on
their graduating class list. If this information is not available on the transcript, advice should be
provided in writing from the relevant faculty, school or department.